Nassau County is located in Long Island, New York. The county has a population of 1,390,907 people, including around 256,000 seniors aged 65 and older. This accounts for 18.4% of the population, which is higher than the national average of 16.8%. Thanks to its low crime rates and close proximity to the major amenities in New York City, Nassau County has become a popular choice for seniors seeking a more tranquil setting to retire just outside the city. Seniors have easy access to top-quality medical facilities, including Mount Sinai South Hospital, which is rated as high performing in treating diabetes, stroke and heart attacks.

According to Genworth’s 2021 Cost of Care Survey, seniors in Nassau County pay around $5,529 per month for home care, which is higher than both the national and state averages. While home care assists seniors with personal care, home health care typically involves nurses and therapists providing medical services. 

Below we’ve compiled a comprehensive directory of every home care provider in Nassau County– complete with services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled resources to help seniors and their families to access all the tools they need to age in place safely and gracefully.

Directory of Home Care Services in Nassau County, NY

2017, 2018, 2019, 2020, 2021, 2022, 2023

Right at Home Nassau Suffolk County

754 Old Country Rd, Plainview, NY, 11803

They have sent very competent people with good personalities. They have sent me wonderful people.
They have sent very competent people with good personalities. They have sent me wonderful people.

2020, 2021, 2022, 2023

Right at Home North Shore Long Island

400 Post Ave , Ste 302 , Westbury, NY, 11590

It helped him tremendously. The aide was excellent.
It helped him tremendously. The aide was excellent.

2019, 2020, 2021, 2022, 2023

Right at Home Eastern Queens

58-47 Francis Lewis Blvd., Ste 102, Bayside, NY, 11364

My mom had 24 hour live in help. Gregg and his staff were easy to contact and always helpful. Our aide during the week, Dorothy, was kind, caring and very patient with my mom.
My mom had 24 hour live in help. Gregg and his staff were easy to contact and always helpful. Our aide during the week, Dorothy, was kind, caring and very patient with my mom.

2020, 2021, 2022

TheKey – Steps Home Care

3 Barker Avenue, White Plains, NY, 10601

They were able to find us caregivers that we needed on short notice. However that depended on the caregiver too. I really liked that they were very communicative and flexible with our changing needs … (read more)
They were able to find us caregivers that we needed on short notice. However that depended on the caregiver too. I really liked that they were very communicative and flexible with our changing needs … (read more)

2018, 2019, 2020, 2021, 2022, 2023

Right at Home South Shore Long Island

1111 Route 110, Suite 207, Farmingdale, NY, 11735

I can’t say enough about the great experience I had with Right at Home! I used them to provide companion care for my mom who was on Hospice care. Maria, the staff coordinator was friendly and did he … (read more)
I can’t say enough about the great experience I had with Right at Home! I used them to provide companion care for my mom who was on Hospice care. Maria, the staff coordinator was friendly and did he … (read more)

2022, 2023

Home Helpers of Huntington – NY

775 Park Ave. Suite 255 , Huntington, NY, 11743

They help me with things like getting dressed and making my food. I like that they are a reliable company.
They help me with things like getting dressed and making my food. I like that they are a reliable company.

2023

Steadfast Caregivers

647 Franklin Ave , Garden City, NY, 11530

When my mom’s dementia progressed to the point where she needed an aide, Steadfast was there for us. The caregivers helped my mom with daily tasks: helping her dress, cooking and feeding her meals, … (read more)
When my mom’s dementia progressed to the point where she needed an aide, Steadfast was there for us. The caregivers helped my mom with daily tasks: helping her dress, cooking and feeding her meals, … (read more)

Home Instead – Merrick, NY

19 Merrick Ave, Suite 201, Merrick, NY, 11566

I currently have Home Instead Merrick helping with my husband’s care. They help out with showering and preparing lunch or breakfast, whichever is needed — but it’s mainly lunch. They see that he’s dr … (read more)
I currently have Home Instead Merrick helping with my husband’s care. They help out with showering and preparing lunch or breakfast, whichever is needed — but it’s mainly lunch. They see that he’s dr … (read more)

2022

Gentle Hands Home Care, LLC

172-02 Jamaica Ave, Jamaica, NY, 11433

<h4>Welcome to Gentle Hands Home Care</h4> <h5>“In House Care Service”</h5> <p>Gentle Hands Home Care, LLC is a locally owned and operated home care agency. We are proud to be affiliated to Ne … (read more)
<h4>Welcome to Gentle Hands Home Care</h4> <h5>“In House Care Service”</h5> <p>Gentle Hands Home Care, LLC is a locally owned and operated home care agency. We are proud to be affiliated to Ne … (read more)

Love & Care LLC

68 old farm road, Fairfield, CT, 06824

Our whole family is so thankful for how caring and professional Bruce and his staff were in caring for our father. The caregivers were on time, helpful, and trustworthy. The agency was responsive t … (read more)
Our whole family is so thankful for how caring and professional Bruce and his staff were in caring for our father. The caregivers were on time, helpful, and trustworthy. The agency was responsive t … (read more)

Ellison Home Care

1747 Veterans Memorial Highway, Ste. 44, Islandia, NY, 11749

Fully licensed and accredited NYS Home Care Services provider specializing in home care for all of Nassau and Suffolk counties.
Fully licensed and accredited NYS Home Care Services provider specializing in home care for all of Nassau and Suffolk counties.

UniversaCare

246-50 57th D, Queens, NY, 11362

I legitimately don’t know what I would do without UniversaCare providing such high quality services for my loved ones. Both of my parents need assistance and their quality team of caregivers and staff … (read more)
I legitimately don’t know what I would do without UniversaCare providing such high quality services for my loved ones. Both of my parents need assistance and their quality team of caregivers and staff … (read more)

VT Exquisite Home Care Agency

470 Lakeville Rd , New Hyde Park, NY, 11040

I am a current client of vtexquisite home care agency, I came out of the hospital and needed companion care I google home care and found this agency was so happy I did Verona, spoke to me over the ph … (read more)
I am a current client of vtexquisite home care agency, I came out of the hospital and needed companion care I google home care and found this agency was so happy I did Verona, spoke to me over the ph … (read more)

Angel Care Home Companion Services, Inc

34 East Main Street Suite 430 , Smithtown, NY, 11787

Angel Care Home Companion Services- New York is an in-home care provider serving New York, New York and the surrounding area. Angel Care Home Companion Services- New York offers non-medical services i … (read more)
Angel Care Home Companion Services- New York is an in-home care provider serving New York, New York and the surrounding area. Angel Care Home Companion Services- New York offers non-medical services i … (read more)

Home Instead – Melville, NY

150 Broadhollow Rd, Suite 315, Huntington Station, NY, 11746

As soon as I indicated interest, I was immediately called to see if I had any questions. From the initial consultation through the placement of a caretaker, Home Instead has been professional, courte … (read more)
As soon as I indicated interest, I was immediately called to see if I had any questions. From the initial consultation through the placement of a caretaker, Home Instead has been professional, courte … (read more)

AllBorogh Personal Care Inc

1414 Utica Ave, Brooklyn,, Brooklyn, NY, 11203

It is a very professional well coordinated company who takes personal and loving care of its patients according to my personal experience with All Bourough and its staff. Thank you for providing t … (read more)
It is a very professional well coordinated company who takes personal and loving care of its patients according to my personal experience with All Bourough and its staff. Thank you for providing t … (read more)

Senior Helpers – Central Long Island

115 Newbridge Road, Hicksville, NY, 11801

Senior Helpers in-home companion and personal care services focus on improving the health and well-being of your aging loved ones so they can get the most out of life. Whether you need assistance 24 … (read more)
Senior Helpers in-home companion and personal care services focus on improving the health and well-being of your aging loved ones so they can get the most out of life. Whether you need assistance 24 … (read more)

Galaxy Home Care

2769 Coney Island Avenue, 2nd Floor , Brooklyn, NY, 11235

As a leading in-home care provider, Galaxy Home Care offers a wide range of service options and care programs. It is our goal to improve the quality of life for our clients and their families. <p></p … (read more)
As a leading in-home care provider, Galaxy Home Care offers a wide range of service options and care programs. It is our goal to improve the quality of life for our clients and their families. <p></p … (read more)

Elite Home Care

3838 Flatlands Ave, Brooklyn, NY, 11234

Elite Home Care is wonderful. The staff is great. If I have any questions or whatever, they promptly answered. They’re absolutely professional and prompt. We have an aide three days a week for my dad. … (read more)
Elite Home Care is wonderful. The staff is great. If I have any questions or whatever, they promptly answered. They’re absolutely professional and prompt. We have an aide three days a week for my dad. … (read more)

A Gentle Touch Senior Home Care

344 Deer Park Ave, Babylon, NY, 11702

A Gentle Touch Senior Home care is a family owned and operated home care agency servicing all of our families as both personally and professionally as possible. Who better to take care of your family … (read more)
A Gentle Touch Senior Home care is a family owned and operated home care agency servicing all of our families as both personally and professionally as possible. Who better to take care of your family … (read more)

Paying for Home Care in Nassau County, NY

The Cost of Home Care in Nassau County, NY

Due to the proximity of Nassau County to New York City, the areas share the same monthly cost of $5,529. Care in Nassau County is slightly more expensive than the average cost of care across the state of New York and around $600 more expensive than the national average. Close by in Poughkeepsie, seniors pay around $5,339 for care, which is slightly lower than Nassau County. Care is the most affordable in Buffalo, averaging around $4,957 per month, and considerably more expensive to the south in Ithaca, where it costs $6,101 per month.

$5529

Nassau County

$5339

New York

$4957

The United States

$4957

Buffalo

$6101

Ithaca

$5339

Poughkeepsie

The Cost of Home Care vs. Other Senior Care Options in Nassau County, NY

The most affordable care option in Nassau County is adult day care, which costs around $1,950 per month. For seniors who prefer to age in place, home care, which includes personal care, costs around $5,529, and home health care, which includes light medical services, costs slightly more at $5,720. Seniors in assisted living communities typically pay slightly more than home care ($5,750) and seniors in nursing homes pay significantly more, costing around $12,471 on average.

$5529

Home Care

$5720

Home Health Care

$1950

Adult Day Health Care

$5750

Assisted Living

$12471

Nursing Home Care (semiprivate room)

Note: Data for Nassau County was not available, so data for the nearest city, New York City, was used instead.

Financial Assistance for Home Care in Nassau County, NY

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

  • Long-Term Care Insurance: Long-term care insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
  • Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
  • Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
  • Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
  • Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.

Nassau County Home Care Resources 

Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in Nassau County:

Nassau County Department of Human Services Office for the Aging

Address: 60 Charles Lindbergh Boulevard, Uniondale, NY 11553
Phone Number: (516) 227-8972

The Nassau County Department of Human Services Office for the Aging is a contact point for several services for seniors in the area. The goal of the Department is to provide older adults in the county with the services they need to remain independent at home for as long as possible. It operates more than 70 programs for the elderly, including health services and insurance counseling, and advocates on behalf of the elderly.

Social Adult Day Care

Address: 60 Charles Lindbergh Boulevard, Uniondale, NY 11553
Phone Number: (516) 227-8900

Social Adult Day Care services in Nassau County are county-based programs that give frail seniors a chance to socialize and receive nutrition in a group setting. Seniors can come to the day services program during the day, where caring staff can provide assistance as needed, and then return home at night. These services are without a fee, but seniors and their families are encouraged to donate if they can.

Nassau County In-Home Services for the Elderly

Address: 60 Charles Lindbergh Boulevard, Uniondale, NY 11553
Phone Number: (515) 227-8900

Adults aged 60 and older who need help with the activities of daily living can get assistance through the county so they can remain living at home. In-Home Services for the Elderly Program provides care coordination as well as in-home care as needed for qualified seniors. Each senior in the program gets an individualized care plan based on a personalized assessment.

New York State Wellness in Nutrition Program Home Delivered Meals

Address: 60 Charles Lindbergh Boulevard, Uniondale, NY 11553
Phone Number: (516) 227-8930

Nassau County participates in the state’s Wellness in Nutrition Program, which delivers healthy meals to older adults who cannot make their own food or get to congregate meal locations. To qualify, seniors must be unable to do their own cooking or shopping and have no local support to meet nutrition needs.

STAR Program

Address: 240 County Road, Mineola, NY, 11501
Phone Number: (516) 571-1500

The STAR Program is a property tax reduction that helps seniors in Nassau County who are income qualified. This program may exempt these qualified seniors from school property taxes on their owner-occupied primary residences. To qualify, seniors must be age 65 or older and make less than $88,050 a year.

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Checklist for determining the need for home care


Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

Talking with Family and Others about a loved one's needs